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Burning mouth syndrome is the medical term for a chronic burning in the mouth without an obvious reason. This discomfort or pain may affect the tongue, gums, lips, inside of your cheeks, roof of your mouth (palate) or widespread areas of your whole mouth. The burning sensation can be quite severe. It can feel as if you burned the tissues in your mouth.

Burning mouth syndrome generally appears suddenly, but it can also develop slowly over time. Often the specific cause often is not easily or cannot be determined which can cause frustration for patient and doctor.

Burning Mouth Syndrome Symptoms

  • A burning sensation that most commonly affects your tongue. This syndrome may also affect your lips, gums, palate(roof of your mouth), throat or in some cases your entire mouth.
  • A sensation of dry mouth (also called xerostomia) with an increased thirst.
  • Taste changes. This can include a bitter or metallic taste.
  • Loss of taste.
  • Tingling, stinging or numbness in your mouth.
Burning Mouth Syndrome Botox Marielaina Perrone DDS
Relief From Burning Mouth Syndrome May Be Possible

Burning mouth syndrome can last for months to years. In some rare instances of burning mouth syndrome, symptoms may suddenly go away on their own or become less frequent. Some of the burning sensations may be temporarily relieved during eating or drinking.

Burning mouth syndrome generally does not cause any outward physical changes to your oral tissues.

Burning Mouth Syndrome Causes

While there is no known cause, there is a belief that an issue with the taste and sensory nerves of the peripheral and central nervous systems plays a role. In other cases, burning mouth syndrome can be caused by a medical condition. These may include:

  • Dry mouth (xerostomia), which can be caused by various prescription medications (include antihistamines, high blood pressure medications, and anti depressants), health problems (diabetes and autoimmune disorders), salivary gland function issues or the side effects of treatment for cancer (chemotherapy and radiation).
  • Oral Conditions such as a fungal infection of the mouth (oral thrush), an inflammatory condition called oral lichen planus or a condition called geographic tongue that gives the tongue a maplike appearance
  • Nutrition deficiencies. This can include a lack of iron, zinc, folate (vitamin B-9), thiamin (vitamin B-1), riboflavin (vitamin B-2), pyridoxine (vitamin B-6) and cobalamin (vitamin B-12).
  • Allergies or reactions to foods. This can include food flavorings, other food additives, fragrances, dyes or dental materials.
  • Gastroesophageal reflux disease (GERD) that enters your mouth from your stomach.
  • Certain medications, particularly high blood pressure medications
  • Oral habits, such as tongue thrusting, biting the tip of the tongue and teeth grinding (bruxism)
  • Endocrine disorders, such as diabetes or underactive thyroid (hypothyroidism)
  • Excessive mouth irritation, which may result from overbrushing your tongue, using abrasive toothpastes, overusing mouthwashes or having too many acidic drinks
  • Psychological factors, such as anxiety, depression or stress
Senior Dental Care Marielaina Perrone DDS
Botox And Burning Mouth Syndrome

Burning Mouth Syndrome Risk Factors

Burning mouth syndrome is not very common. It is mostly seen in patients with cahracteristics below:

  • Female
  • Perimenopausal or Postmenopausal
  • >50 yrs old

Burning mouth syndrome usually begins with no rhyme or reason. However, your risk of developing burning mouth syndrome may increase with the following:

  • Recent illness
  • Presence of a chronic medical disorders such as fibromyalgia, Parkinson’s disease, autoimmune disorders and neuropathy
  • Previous dental procedures
  • Allergic reactions to food
  • Prescription Medications
  • Traumatic life events
  • Stress
  • Anxiety
  • Depression

Traditional Burning Mouth Syndrome Treatment

Most treatments focus in on a dry mouth issue.

  • Change medications that cause dry mouth. Many medications are known to cause dry mouth. Your doctor may adjust dosages or change to a different medication to give you some relief from burning mouth syndrome.
  • Recommend products to moisturize your mouth. These can include prescription or over-the-counter mouth rinses, artificial saliva or moisturizers to keep your mouth lubricated. There are mouthwashes designed specifically for dry mouth. These can include Biotene Dry Mouth Oral Rinse or Act Dry Mouth Mouthwash.
  • Prescribe medication that stimulates saliva. Your doctor may prescribe pilocarpine (Salagen) or cevimeline (Evoxac) to stimulate saliva production to relieve symptoms of dry mouth.
  • Protect your teeth. To prevent tooth decay from dry mouth, your dentist might fit you for fluoride trays, which you fill with fluoride and wear over your teeth at night.

How Can Botox Help?

Botox has been used for a long time by dentists and doctors for cosmetic purposes. However, recently it’s use has been expanded to help other conditions including Temperomandibular Joint Disorder (TMJD) and migraine headaches. A recent study has shed light that it can help burning mouth syndrome.

The very small study finds that Botox “might be an effective, long-lasting, and safe treatment” for the disorder. It is important to temper expectations until more research is performed as this was a small study but very promising.

The research team examined three women and one man (all between ages of 60-80). All 4 subjects were experiencing burning mouth syndrome on their tongue and lower lip for at least 6 months. Each of the patients received a total of 16 Botox injections directly into the tongue and lower lip. The researchers found that within 48 hours of injection all pain and discomfort disappeared. They also reported relief last for a period of between 16-20 weeks.

Botox And Burning Mouth Syndrome

While the study was small the results were promising. This could give hope to those suffering from burning mouth syndrome to give them relief long term. It is important to see your dentist or doctor as soon as symptoms develop so that a course of treatment can be prescribed to limit the pain and discomfort and bring you back to full health. As always see your dentist regularly for dental examinations and professional cleanings.

Botox cosmetic has become a very popular cosmetic treatment all over the world. Botox injections are the use of a neurotoxin to temporarily prevent a particular muscle from moving. This gives dentists and doctors the ability to remove fine wrinkles and softening of the muscles. Botox can also be used to treat migraines, TMJ disorder, excessive sweating, and even an overactive bladder.

Top Reasons To Choose Botox Cosmetic

Proven Track Record Of Safety. Botox cosmetic is one of the oldest non surgical cosmetic treatments available today.  Millions of doses are given each year with minimal side effects. It has proven to be safe and reliable to make us look and feel younger. Botox injection is a perfectly safe cosmetic procedure due to it being minimally invasive. This procedure will Before And After Botox Las Vegas Marielaina Perrone DDSonly require a needle to be injected in a specific muscle in your body. This means that other body parts will not be put at risk of complications or side effects.

Minimal Side Effects. The side effects from botox cosmetic injections can vary from person to person. The most common side effects will include minor swelling or bruising at the Botox injection site. Side effects from botox are generally gone within a matter of hours. It is important to choose a well trained dentist or physician for your Botox needs to help avoid or limit any side effects.

Feel And Look Younger. Botox cosmetic has the ability to create a smooth, soft, vibrant complexion. Botox is not just for women. Many men have jumped in looking to look and feel younger. The appearance of facial wrinkles can give away a person’s age. This can have negative effects socially and in business. Botox can be the answer for you to look younger with a minimally invasive procedure. The best part is it is quick and results appear in as little as a week.

Minimally Invasive. Since it is a few injections and not a surgery, it is quick and relatively painless. In fact, no anesthesia is even necessary due to the fine gauge needle used to administer botox. Because botox is minimally invasive there are less chance for side effects to occur unlike more invasive plastic surgery.

Visible Results In Days. It generally takes about 3-5 days for the full results of a botox treatment to show itself. Your skin will be smoother and more vibrant giving you an overall refreshed look. Those fine lines around your eyes and in your forehead will disappear shaving years off your appearance.

Botox Is Affordable. When compared to other cosmetic treatments, botox is quite inexpensive especially for the results you receive and the speed with which you receive them.

FDA Approved. Botox is FDA approved and proven to be safe and effective. In fact, botox is the first and only FDA approved treatment that is proven to reduce wrinkles in the forehead, crow’s feet around the eyes, and frown lines in the mid face. This will make you look younger and more vital almost immediately.

Other Medical Benefits. Botox benefits can go beyond the cosmetic. These other benefits can include treatment for:

-Overactive Bladder. Clinical studies have shown that Botox injections have reduced the urgency and frequency of women feeling the need to urinate by up to 75%. These results can be experienced in just 3-4 days following the botox procedure.

-Excessive Sweating. Botox injections can treat excessive underarm sweating. Botox works by blocking the nerves and sweat glands responsible for secreting sweat. Botox injections can also work for hands and feet.

Chronic Migraines. This type of headache can have a dramatic effect on your life and your relationships. Botox has the ability to provide this benefit because it can block sensory nerves

Before And After Botox Las Vegas Marielaina Perrone DDS

Before And After Botox Cosmetic Las Vegas

that send messages of pain to the rest of your body. Botox injections can also relax the muscles and make them less pain sensitive.

-TMJ Disorder. Botox works by relieving muscle tension and stiffness, so when it is injected at the temporomandibular joint, the muscles relax.

-Eyelid Spasms

-Neck Pain

-Eye Muscle Problems

Top Reasons To Choose Botox Conclusion

Botox has many uses but choosing a well trained dentist or doctor to administer Botox is of utmost importance. Look for a dentist who is an active member of the American Academy Of Facial Esthetics (AAFE). The member training is extensive. The more training and experience your dentist has the less side effects will arise. Only a skilled practitioner will give you the most optimal results to turn back the clock. The only regret you might have is wondering why you did not give botox cosmetic a chance sooner.



Tooth sensitivity is generally the result of worn tooth enamel or exposed tooth roots due to gingival recession. Other causes of tooth sensitivity include tooth decay, a cracked or chipped tooth, a worn filling, or periodontal disease. Tooth sensitivity is a very common problem affecting more than 1 in 8 Americans. For some they are aware and neglecting the problem and for others they think it is normal and try to mask it by avoiding those teeth when it comes to certain food items. When tooth sensitivity is present it becomes difficult at times to enjoy our favorite food and drink or even brush our teeth properly.

What Causes Tooth Sensitivity?

The pain or discomfort you feel when a tooth is exposed to hot or cold temperatures or even an acidic food or drink. This is the hallmark sign of tooth sensitivity. There are 3 layers of a tooth. These are called enamel, dentin, and pulp. The enamel is the harder outer shell that covers your teeth. Tooth enamel is considered the hardest mineral substance in the body. Even stronger than bone. There is one other piece to the puzzle and that is cementum. Cementum covers and protects the root surface where the enamel does not cover. When something happens to the enamel or cementum you end up with tooth sensitivity. The enamel could be damaged thru tooth decay or trauma while the cementum can be lost due to periodontal disease.

Worn Down Enamel. Enamel can be damaged in a variety of ways. These can include overly aggressive brushing, tooth trauma, tooth enamel erosion from acidic drinks, and even teeth whitening products if not used as directed. In areas where the enamel breaks down it will expose the soft underlayer, the dentin. The dentin has tubules that connect to the inner layer the pulp. The pulp is where all the nerves and blood is. This will cause you tooth sensitivity to begin to develop.

Periodontal Disease. This is a progressive disease that triggers an inflammatory response in the mouth. If left untreated it can progress from gingivitis (reversible) to periodontitis (non reversible). Periodontitis will lead to destruction of cementum, gingival tissues, and bone surrounding your teeth. Once the roots of your teeth are exposed, you will develop tooth sensitivity.

Bruxism. Also referred to as teeth grinding. When we grind our teeth we put extreme forces on our teeth. This force can lead to cracks in the enamel on your teeth. Once those cracks form, it exposes the soft dentin beneath leading to tooth sensitivity.

Tips If You Have Tooth Sensitivity

-Softer Toothbrushing. Brushing technique should include use of a soft-bristled brush and use at a 45 degree angle to your gum. this will help prevent damage to your enamel and gum tissues.

-NO! acidic foods and drinks. These will only cause you pain and discomfort if you already suffer from tooth sensitivity. But if you do choose to consume these wait about 30 minutes after bruhing to give you a chance not to feel so much pain or discomfort.

-Slow Down On Teeth Whitening. Teeth whitening can cause temporary tooth sensitivity. If you do develop tooth sensitivity while undergoing teeth whitening treatment speak to your dentist immediately.

How Is Tooth Sensitivity Treated?

Dentistry is highly personalized care. Tooth sensitivity is no different. The treatment for tooth sensitivity will depend on the cause. A proper diagnosis is necessary to develop a proper treatment plan for your tooth sensitivity. Tooth sensitivity treatment can include:

-Use Of Desensitizing Toothpaste. A common over the counter toothpaste is called Sensodyne. This toothpaste acts to seal those tubules present in the dentin. By sealing those tubules, it will remove or diminish the tooth sensitivity you may be feeling. Sensodyne contains, calcium, phosphate, as well as fluoride.

-Fluroide Treatment. This can be done at home or in office. In office, the fluoride will be applied using a tray and applied to your teeth giving adequate coverage. There are also take prescription home rinses that can be used by the patient as needed.

-Custom Fabricated Mouth Guards. This would be used to ward off damage from teeth grinding that can cause tooth sensitivity.

-Restore Broken, Chipped, or Fractured teeth. This can include dental bonding or dental crowns to restore your teeth to a healthier state and prevent tooth sensitivity.

-Periodontal Disease Treatment. This can include bone grafting as well as gum grafts to cover the root surfaces of your teeth that have been exposed.

Root Canal Therapy (RCT). In some cases tooth sensitivity is caused by a dental infection present inside a tooth.

What Causes Tooth Sensitivity? Conclusion

Now you know the causes of tooth sensitivity it is important to address these issues if you have them with your dentist. Be proactive and treat tooth sensitivity before it gets out of control.

Comprehensive dental care is when a dentist provides a full range of dental health services for diagnosis, treatment, follow-up, and rehabilitation of a patients smile. This will include thinking about not only a person’s smile as a singular item. It will include a person’s functional health as well as facial esthetics.

“We believe in a comprehensive dental care approach to restorative and cosmetic dentistry, that fully integrates health, comfort, and beauty.” – Marielaina Perrone DDS

The human body acts as a complex group of systems and never acts in isolation. In comprehensive dental care, it is very similar in how we look at the patient and their smile. The teeth may be the focus of our smiles but they do not work in isolation either. In comprehensive dental care, we look at the soft tissues as well as the hard tissues to create a treatment plan that is personalized for you. This can and will include the TMJ joint, the muscles of the face, and how the teeth fit together (also called occlusion). Often times, a deeper dental examination Comprehensive Dental Care Las Vegas Marielaina Perrone DDSwill reveal issues with the occlusion or over active muscles. This can show as uneven wear of the teeth which can be due to genetic issues or stress. A comprehensive dental care examination will reveal these deeper functional flaws that can affect the cosmetics of your smile.

Comprehensive Dental Care Personalized

A well trained dentist with comprehensive dental care experience will know to look beyond the issue at hand and ask why did that happen? If we examine the smile in a comprehensive dental care way of looking at things, we realize a tooth extraction is not a singular event. Once that tooth is removed, there will be changes to our occlusion as well as our esthetics. This can have long term implications to a person’s overall dental health. Treating “just one tooth” is often not the best interest for your long term dental health. Below are some dental procedures that are included in comprehensive dental care to treat function and cosmetics as one:

Porcelain Crowns. This type of dental crown combines strength and beauty into one package. Porcelain crowns have the esthetics patients desire for their smile but the strength demanded by patients and dentists for function. When porcelain crowns are used properly, a patient will begin to see an immediate improvement in their occlusion and in the cosmetic appearance in the skin around the face as wrinkles will lessen. The wrinkles will lessen because the occlusion will be “raised” forcing the skin around the mouth to stretch slightly. Using dental crowns for this purpose is called bite reclamation.

Porcelain Veneers. Known as part of the Hollywood smile. Porcelain veneers are sometimes referred to as “instant orthodontics” because they have the ability to realign teeth vs wearing orthodontic braces. Porcelain veneers are more conservative than porcelain crowns and are purely cosmetic in nature and cannot be used to reclaim lost occlusion height.

Dental Implants. Dental implants are highly successful for replacing one or more teeth. These would be an integral part of comprehensive dental care especially for larger scale smile restorations.

Orthodontic Braces Or Invisalign. Many people see orthodontics or invisalign as a purely cosmetic treatment for adults. However, in comprehensive dental care your dentist will see that re aligning the bite will result in straighter teeth but it will also bring those teeth into harmony with one another. This will place less stress on the teeth thru their daily functions as well.

Tooth Bonding. can be used to repair a tooth damaged by trauma or tooth decay. These tooth colored restorations can make an immediate improvement to your smile.

Facial Asymmetry. In comprehensive dental care, your well trained dentist will evaluate not just the smile but also the entire face. By looking beyond the smile, they may be able to see certain asymmetry’s in the alignment of your face. The use of botox can be used to balance the facial muscles and bring them into harmony with your smile. An eyebrow lift or aComprehensive Dental Care Marielaina Perrone DDS depression of the brow can also be enhanced using botox applications.

Gummy SmileThis occurs when too much gum tissue is exposed upon smiling. This usually is the result of the lip rising too high when smiling. Injecting Botox into the upper lip weakens the retractor muscles of the upper lip so that it won’t raise as high and your smile will appear better balanced. In comprehensive dental care, your dentist will see this immediately and factor this into your treatment plan.

Crown Lengthening. This is a comprehensive dental care surgical process whereby your dentist will remove bone around a tooth to expose more of the tooth into the mouth. This is often needed in patients with a severe grinding issues to reclaim lost occlusal height.

Gum and Bone Grafting and Recontouring. Both gum tissues and bone tissues can be grafted in to replace lost tissues in comprehensive dental care. These have both functional and esthetic concerns. Functionally, adding more bone will aid in support of teeth and adding gingival tissues can cover exposed roots alleviating tooth sensitivity and stop tooth decay from forming on the roots of your teeth. Cosmetically, these grafts can restore your smile to its youthful glory.

Teeth Whitening. Many of our worn teeth are also dark and discolored. The color you desire to reach may require a dental whitening process, or simply a whiter color bonding restoration or a whiter colored porcelain restoration. Teeth whitening is included in comprehensive dental care because it will be usually a priority for most patients when trying to rejuvenate their smiles.

Juvederm Dermal Fillers. These fillers can be used to turn back the clock and fill in areas that time has changed. Again bringing about a balance between function and smile is a hallmark of comprehensive dental care.

Comprehensive Dental Care Conclusion

A dentist who is well trained in comprehensive dental care will be able to spot problem areas quite easily. Some areas are hidden but a deeper look during a dental examination and they will be revealed. Some issues will not have longer term implications while others may. It is important to recognize the difference between the two so the proper recommendations can be made to the patient.